Next Generation Healthcare Systems on Cloud Leveraging AI for Adaptive Decision Making and Risk Management
DOI:
https://doi.org/10.15662/IJEETR.2025.0704013Keywords:
Cloud computing, artificial intelligence, healthcare systems, adaptive decision-making, risk management, predictive analytics, electronic health records, telemedicine, clinical data processing, patient safetyAbstract
The healthcare sector is experiencing a paradigm shift with the adoption of cloud computing and artificial intelligence (AI) to support adaptive decision-making and effective risk management. This study proposes a next-generation healthcare system architecture that integrates cloud infrastructure with AI-driven analytics to process large-scale clinical data, enhance patient care, and proactively manage healthcare risks. By leveraging cloud scalability, healthcare providers can store and process extensive electronic health records, medical imaging, and real-time patient monitoring data efficiently. AI algorithms, including machine learning and deep learning models, facilitate predictive diagnostics, personalized treatment planning, and early detection of potential medical complications. The proposed system also incorporates automated risk management mechanisms, monitoring operational, clinical, and financial risks to ensure patient safety and regulatory compliance. Preliminary evaluations indicate significant improvements in decision-making speed, predictive accuracy, resource allocation, and risk mitigation compared to conventional healthcare IT systems. The integration of cloud computing and AI not only streamlines healthcare workflows but also supports telemedicine, remote monitoring, and population health management. This research contributes to the development of intelligent, secure, and adaptive healthcare systems, offering a scalable solution for modern medical institutions navigating complex clinical and operational challenges.
References
1. Snyder, B., Ringenberg, J., Green, R., et al. (2015). Evaluation and design of highly reliable and highly utilized cloud computing systems. Journal of Cloud Computing, 4(11). https://doi.org/10.1186/s13677-015-0036-6
2. Elgammal, Z., Albrijawi, M. T., & Alhajj, R. (2025). Digital twins in healthcare a review of AI powered applications. Journal of Big Data, 12, 234. https://doi.org/10.1186/s40537-025-01280-w
3. Gurram, S. (2023). Why Data Engineering, Not Model Scale, Became the True Bottleneck in Generative AI. International Journal of Research Publications in Engineering, Technology and Management (IJRPETM), 6(4), 9028-9036.
4. Vimal Raja, G. (2022). Leveraging Machine Learning for Real-Time Short-Term Snowfall Forecasting Using MultiSource Atmospheric and Terrain Data Integration. International Journal of Multidisciplinary Research in Science, Engineering and Technology, 5(8), 1336-1339.
5. Padala, S. (2024). Group-ID-Based Intelligent Routing: A Precision Routing Framework for Insurance Service Operations. International Journal of AI, BigData, Computational and Management Studies, 5(3), 183-187.
6. Niture, N. (2025). AI-Augmented Infrastructure Governance: Intelligent Risk Detection in Identity-Centric Cloud Platforms. International Journal of Research Publications in Engineering, Technology and Management (IJRPETM), 8(2), 11802-11814.
7. Mohana, P., Muthuvinayagam, M., Umasankar, P., & Muthumanickam, T. (2022, March). Automation using Artificial intelligence based Natural Language processing. In 2022 6th International Conference on Computing Methodologies and Communication (ICCMC) (pp. 1735-1739). IEEE.
8. Kumar, L. M. S. (2025). Security Across Services in Microservice Architecture. International Journal of Computer Science and Engineering Research and Development (IJCSERD), 15(3), 89-101.
9. Soundappan, S. J. (2024). AI-Driven Customer Intelligence in Enterprise Lakehouse Systems Sentiment Mining Governance-Aware Analytics and Real-Time Data Synchronization. International Journal of Advanced Engineering Science and Information Technology (IJAESIT), 7(5), 14905.
10. Sudhan, S. K. H. H., & Kumar, S. S. (2016). Gallant Use of Cloud by a Novel Framework of Encrypted Biometric Authentication and Multi Level Data Protection. Indian Journal of Science and Technology, 9, 44.
11. Tusher, M. I., Hossain, M. R., Akter, A., Mahin, M. R. H., Akhi, S. S., Chy, M. S. K., ... & Shaima, M. (2025). Deep learning meets early diagnosis: A hybrid CNN-DNN framework for lung cancer prediction and clinical translation. International Journal of Medical Science and Public Health Research, 6(05), 63-72.
12. Bheemisetty, N. (2024). From Fragmentation to Agility: Nautilus Architecture for Risk Management Modernization. International Journal of Advanced Research in Computer Science & Technology (IJARCST), 7(4), 10673-10682.
13. Garg, V. K., Soundappan, S. J., & Kaur, E. M. (2020). Enhancement in intrusion detection system for WLAN using genetic algorithms. South Asian Research Journal of Engineering and Technology, 2(6), 62–64. https://doi.org/10.36346/sarjet.2020.v02i06.003
14. Ambalakannu, M. (2025). A Next-Generation Service Architecture for Dependable Rewards Processing. International Journal of Advanced Research in Computer Science & Technology (IJARCST), 8(1), 11598-11606.
15. Indurthy, V. S. K. (2025). Phased Migration Strategies for Modernizing Enterprise Data Warehouses. International Journal of Advanced Research in Computer Science & Technology (IJARCST), 8(3), 12170-12178.
16. Anand, L. (2024). AI-Powered Cloud Cybersecurity Architecture for Risk Prediction and Threat Mitigation in Healthcare and Finance. International Journal of Research Publications in Engineering, Technology and Management (IJRPETM), 7(Special Issue 1), 5-12.
17. Gowda, M. K. S. (2024). Generative AI in banking risk and compliance: Opportunities and control challenges. International Journal of Future Innovative Science and Technology (IJFIST), 7(6), 13936–13946. https://doi.org/10.15662/IJFIST.2024.0706013
18. Ireddy, R. K. (2024). Event-native financial onboarding platforms: A Kafka-centric reference architecture for sub- minute identity and compliance processing. World Journal of Advanced Research and Reviews, 21(2), 2182–2192. https://doi.org/10.30574/wjarr.2024.21.2.0448
19. Mudunuri, P. R. (2023). Automation-Driven Reliability Engineering for Public-Sector Biomedical Systems. International Journal of Humanities and Information Technology, 5(01), 68-86.
20. Ambati, K. C. (2024). The rise of augmented data analytics: How AI is transforming business insights. International Journal of Future Innovative Science and Technology (IJFIST), 7(6), 13927–13935. https://doi.org/10.15662/IJFIST.2024.0706012
21. Adept, R. (2021). Modernizing legacy data centers through virtualization and software-defined infrastructure. International Journal of Research and Applied Innovations (IJRAI), 4(4), 17–36.
22. Mallireddy, S. (2024). Tackle key operational challenges among banks with ServiceNow. International Journal of Future Innovative Science and Technology (IJFIST), 7(2), 185.
23. Narayanan, S. (2022). Transforming Cybersecurity with AI-driven Dashboards: A Cloud-Native Implementation Framework for Real-Time Threat Detection and Automated Response. International Journal of Future Innovative Science and Technology (IJFIST), 5(5), 9217.
24. Meka, S. (2022). Streamlining Financial Operations: Developing Multi-Interface Contract Transfer Systems for Efficiency and Security. International Journal of Computer Technology and Electronics Communication, 5(2), 4821-4829.
25. Sanepalli, U. R. (2024). GitOps security architecture with zero trust: Identity-driven control planes for cloud-native deployments. International Journal of Scientific Research in Computer Science, Engineering and Information Technology, 10(2), 1198–1209. https://doi.org/10.32628/CSEIT24102255
26. Hossain, I., Tohfa, N. A., Zareen, S., Rahman, M., Rasul, I., & Shakhawat, M. (2022). Neural Sentinels: Intelligent Threat Hunting in the Age of Autonomous Attacks. World Journal of Advanced Research and Reviews, 2022, 16(03), 1480-1488
27. Rahman, M. B., Bhujel, K., Kanojiya, S., Yasin, M., & Hasan, M. (2025). Enhancing Healthcare Outcomes Through Data-Driven Decision Making: A Business Analytics Approach. Nvpubhouse Library for International Journal of Medical Science and Public Health Research, 6(10), 26-53.
28. Tyagi, N. (2025). Privacy Preserving AI in Financial Sector-Balancing Utility, Security and Compliance. International Journal of Research Publications in Engineering, Technology and Management (IJRPETM), 8(5), 12795-12802.
29. Tohfa, N. A., Hossain, I., Zareen, S., Rasul, I., Hossen, M. S., & Rahman, M. (2021). Adversarial Cognition Machine Learning at the Frontlines of Cyber Warfare. World Journal of Advanced Research and Reviews, 2021, 12(02), 722-729
30. Varma, K. K., & Anand, L. (2025, March). Deep Learning Driven Proactive Auto Scaler for High-Quality Cloud Services. In International Conference on Computing and Communication Systems for Industrial Applications (pp. 329-338). Singapore: Springer Nature Singapore.
31. Konda, S. K. (2024). Carbon-native DCIM architectures for AI data centers: Autonomous infrastructure control via smart grid intelligence. World Journal of Advanced Research and Reviews, 21(1), 3008–3318. https://doi.org/10.30574/wjarr.2024.21.1.0095
32. Jamaesha, S. S., Gowtham, M. S., Ramkumar, M., & Vigenesh, M. (2025). Optimized Auto Separate Federated Graph Neural With Enhanced Well‐Known Signature Trust‐Based Routing Attacks Detection in Internet of Things. Transactions on Emerging Telecommunications Technologies, 36(5), e70158.
33. Gupta, M., Sowmiya, S., Parmar, Y., Menon, S. V., Banchhor, C. O., & Vigenesh, M. (2024, November). Refining Heart Disease Diagnosis with Machine Learning: Techniques for Optimal Medical Outcomes. In 2024 International Conference on Recent Advances in Science and Engineering Technology (ICRASET) (pp. 1-5). IEEE.
34. Subramanyam, S. P. (2022). Kubernetes-oriented continuous deployment architecture for .NET microservices. International Journal of Future Innovative Science and Technology (IJFIST), 5(3), 8482–8490. https://doi.org/10.15662/IJFIST.2022.0503002
35. Adepu, G. (2022). Machine learning-driven environmental monitoring systems for real-time regulatory compliance and risk detection. International Journal of Engineering & Extended Technologies Research (IJEETR), 4(2), 23-37.
36. Namdeo, A. (2024). Digital twin-driven predictive quality analytics. International Journal of Engineering & Extended Technologies Research (IJEETR), 6(2), 7852–7862. https://doi.org/10.15662/IJEETR.2024.0602009
37. Kasireddy, J. R. (2023). Operationalizing lakehouse table formats: A comparative study of Iceberg, Delta, and Hudi workloads. International Journal of Research Publications in Engineering, Technology and Management (IJRPETM), 6(2), 8371-8381.
38. Pasumarthi, H. (2025). AI-augmented API gateways: Intelligent traffic management and threat detection and adaptive policy enforcement. International Journal of Engineering & Extended Technologies Research (IJEETR), 7(3), 1290–1294. https://doi.org/10.15662/gs29e154
39. Fung, J., & Panyala, V. R. (2020). Automating multi-region scalable CI/CD framework for managing AWS CloudWatch alerts. International Journal of Engineering & Extended Technologies Research, 2(5), 1854–1858.
40. Sarabu, V. B. (2023). Preventing circular data update loops in distributed systems: A source-controlled synchronization model for enterprise data integrity. International Journal of Research and Applied Innovations (IJRAI), 6(3), 371–386.
41. Al-Shammari, M., et al. (2018). Reliability and high availability in cloud computing environments a reference roadmap. Human-centric Computing and Information Sciences. https://doi.org/10.1186/s13673-018-0143-8
42. Snyder, B., Ringenberg, J., Green, R., et al. (2015). Evaluation and design of highly reliable and highly utilized cloud computing systems. Journal of Cloud Computing, 4(11). https://doi.org/10.1186/s13677-015-0036-6





